HomeMy WebLinkAboutPermit Electrical 1999-3-22
The following proiec as s ,
, and does nol require specific land use
zomng,
approval., C- ~ , "ATTfNTION'
Zoning - '''/lOW rut .Oregon law '
.,., -;:t rl- -C\ '1 ~I~",'~, es adOPted b th reqUires You t
Dale' , ""~dl/on Cent Y e Oreg 0
~ glmDe ~'J"l('0-I In OA~52-001 er. ThOse rUles on UtiI&tECTRICAL PERMIT APPLICATION
AuthOMIN!;FIELD, OREGON 9'i~~~. You ma -001,0 through 0 are setfOrth
INSPECTION REQlJEST: 72~'Y1~!lle!e o~taln COPies of ~A 952-0Gi.ty Job Number q <1 02.013
OFFICE: 726-3759 nUmberforth ner.(Note:thet I e~Ulesby ~
' Ce ~ Oregon UtiI;~. e ~HBI;!::TE FEE SCIIEDlJLE BELOI/
1. LOCATION OF INSTALLATION nterrs 1-800-332_~3 Notification
'1/ n ^",~A/ ' ,A.44)New Residen tial-Single or
. . Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
;7/)) S <\'17_ /)5' 660 Items Cost' Sum
2. CONTRACTOR INSTALLATION ONLY B. Services'or Feeders
I~ Installation, Alterations
Elec trical Con tractor~>.i~I'N?.f" A-41l'd',\..l~ or Reloca tion:
Address fP. D ~ ~I.(q... :J 200 amps or less
201 amps to 400 amps
City~_ Phone../~.fc.(<{. 401 amps to. 600 amps
NViiv... t:4HHE'P.~~ 1000 amps
Supel'visor License NumberT~9i,~rq\T SHALL EXPIR"dv,n TWq,fu.jlmps/vol ts
." _" RIZED UNDER THIS Rfel,'o\lnec t Only
Expiration Date 10-1 - z>1 -0 n !')nNEDFOR
" 'SNCEf1 1Jt'\IS P.G~N"Temporary Services or Feeders
Constr Contr. NumbeL' I"JDD&J.q _, "'" "ltli,IQ(), Installation, Alteration or Relocation
.r ~IOU"r\. ,-
Expiration D4te~_-?C_ tfJO
Signature of Supervising Electrician
.
JOB DESCRIPTION
.:!J /'.~r . ~-k,~1 tP.A.._
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
.
\{~
... IA..{ -
I'
Owner~ Name ~'1 f"\-ol!.,d AN ('\
?/d //OJ,J
Address
Ci ty Sj .,f) Phone 70Lh -062 L-
OI/NER INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
.
Ovners Signature:
-------------7.-------------------------
DATE: ' 7h~'19
RECEIPT #': Ion 2 Z 'I /' /l
RECEIVED BY: GV/.)~
1000 sq.ft, or less
Each additional 500
sq, ft or portion
, thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 85,00
$ 15,00
,$ 40,00
S 50,00
$ 60,00
$100,00
$130,00
$300.00
$ 40.00
$ 40,00
S 55,00
$ 80,00
see IIB"
above
.'
New, Alteration or Extension Per Panel
55'"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E,
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
---L- $ 35.00
----L
$
V'
2.00
no t included
$ 40,00
$ 40,00
$ 20,00
$ 36,00
J 2 OD
f 'lJ >
I. { '-
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